Saunders J R, Hirata R M, Jaques D A
Surg Clin North Am. 1986 Feb;66(1):59-81. doi: 10.1016/s0039-6109(16)43829-6.
A review of the more common inflammatory and neoplastic conditions affecting salivary glands has been presented. The use of hydration, massage, antibiotics, and steroids is effective initial treatment for suppurative sialadenitis and usually negates the need for surgical drainage. Total excision of the salivary gland and its duct is necessary in procedures for recurrent infection. Our technique for closure of the floor of the mouth after excision of the submandibular gland and Wharton's duct is described. Salivary neoplasms involving the parotid gland, the submandibular gland, and the minor salivary glands are treated on the basis of their histologic and local findings. Stepwise illustrations of our technique of parotidectomy and surgical considerations, including the counseling of a patient with a parotid mass, are presented to assist surgeons who care for patients with salivary disorders.
本文对影响唾液腺的更常见的炎症性和肿瘤性疾病进行了综述。水化、按摩、抗生素和类固醇的使用是化脓性涎腺炎的有效初始治疗方法，通常无需手术引流。对于复发性感染，需要将唾液腺及其导管完全切除。本文描述了我们在切除下颌下腺和沃顿导管后关闭口腔底部的技术。涉及腮腺、下颌下腺和小唾液腺的唾液腺肿瘤根据其组织学和局部表现进行治疗。本文提供了我们腮腺切除术技术的分步图示以及手术注意事项，包括对腮腺肿块患者的咨询，以帮助治疗唾液腺疾病患者的外科医生。
